Natale Builders plans to construct a single-story medical office building in East Amherst near the Transit Valley Country Club.
The company is talking to prospective tenants but won't start construction until someone commits to the space, according to Bobby Corrao, president of Natale Development.
The Amherst Planning Board approved the site plan.
The 6,800-square-foot building would share a driveway with the office just to the north and would have 39 parking spaces in the rear.
The board directed Natale to conduct an archaeological study of the site and to provide proof the company can access the adjoining driveway. A resident who lives behind the project asked Natale to build a higher fence and to take down four cottonwood trees that are a nuisance to neighbors. Natale's architect said the company was open to those requests.